牙科治療相關之異物意外吞入：預防與處理－病例報告

Accidental Swallowing of Foreign Bodies in Dentistry: Prevention and Management- Two Cases Report

賴俊璋(Chun-Chang Lai) ； 吳右喬(Yu-Chiao Wu) ； 謝義興(Yi-Shing Shieh) ； 黃仁勇(Ren-Yeong Huang)

《中華民國家庭牙醫學雜誌》 12卷1期 (2017/06) Pp. 40-48

https://doi.org/10.6566/JFD/2017.12(1).40

摘要

在牙科治療中，器械的意外吞入雖不常發生，但若病人突然打噴嚏或嘔吐反射強烈，仍可能造成異物吞入。因此牙醫師應了解其預防及處理方法，以避免病人受到意外傷害。本文章將介紹兩例病例報告。第一例為一位85歲男性患者於治療過程中誤將根管銼（K-file）吞入，之後為其安排系列放射線學檢查，患者於第三天將根管銼順利排出。第二則為一女性患者於家中吞入鬆脫之植牙牙冠，之後安排放射線檢查並追蹤，三天後，患者順利將牙冠排出，且無任何不適。並歸納可能吞入的原因及相關處置流程，並探討可能之預防措施。

關鍵字

異物吞入 ； 根管治療 ； 根管銼 ； 牙冠

並列摘要

During routine dental treatments, accidental swallowing of instruments is rare. However, sometimes the patient suddenly sneezes or has a strong gag reflex could cause this accident. As a result, the dentists have to be familiar with how to manage and prevent the patient from further injuries. Here, we present two cases of accidental swallowing in dental practice. The first one is a 85 year-old male patient accidentally swallowed the K-file during endodontic treatment. After the accident, we arranged serial radiographic examination to follow his condition. On the third day, the K-file pass through the gastrointestinal tract asymptomatically and atraumatically. The second one is a female patient swallowed the artificial crown/bridge over implant abutment. After that, we arranged radiographic examination for her and kept following her condition. Three days after accidental swallowing, the crown was discharged, and no other complications were noted. We summarized the possible reasons, clinical management and prevention procedures while this accident happening.

並列關鍵字

accidental swallowing ； foreign body ； endodontic treatment ； K-file ； crown